<?php $this->load->view('layout/jingqu/header');?>
<div class="order-page screen-width clearfix">
    <div class="order-left">
        <?php $this->load->view('layout/jingqu/leftmenu');?>
    </div>
    <div class="order-right">
        <div class="your-choice">
            <h5>
                <a href="<?php echo site_url('customer/accountRecord');?>">账户信息</a>
                <span>></span>申请提现
            </h5>
            <div class="sale-search gain-difference clearfix">
                <form class="public-validate-form form-horizontal" action="<?php echo $this->config->www_base_url.'if/order/ticket.html'?>" method="post">
                    <table class="sale-table uesr-table table">
                        <tbody>
                            <tr>
                                <td>
                                    <h6>提现金额</h6>
                                    <div class="sale-inpan">
                                        <input type="hidden" name="types[]" value="32">
                                        <input type="hidden" name="pay_bank" value="99">
                                        <input type="hidden" name="cat_id" value="512">
                                        <input type="hidden" name="version" value="news">
                                        <input type="text" name="nums[]" value="<?php echo $balance->amount_carry; ?>" class="number required" placeholder="请输入您想要提现的金额">
                                    </div>
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <h6>身份证</h6>
                                    <div class="sale-inpan">
                                        <input type="text" name="sfz" class="required checkcard" placeholder="请输入您真实的身份证号码">
                                    </div>
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <h6>账号名称</h6>
                                    <div class="sale-inpan">
                                        <input type="text" name="payee_name" class="required" placeholder="请输入您的账号名称">
                                    </div>
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <h6>银行名称</h6>
                                    <div class="sale-inpan">
                                        <input type="text" name="payee_bank" value="<?php echo $userDetail->company; ?>" class="required" placeholder="请输入所属银行">
                                    </div>
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <h6>银行账号</h6>
                                    <div class="sale-inpan">
                                        <input type="text" name="payee_account" value="<?php echo $userDetail->bank_account; ?>" class="required" placeholder="请输入正确的银行账号">
                                    </div>
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <h6>真实姓名</h6>
                                    <div class="sale-inpan">
                                         <input type="text" name="operator" value="<?php echo $userDetail->contacter; ?>" class="required">
                                    </div>
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <h6>联系手机</h6>
                                    <div class="sale-inpan">
                                         <input type="text" name="phone" value="<?php echo $userDetail->mobile_phone; ?>" class="required" placeholder="请输入您的手机号码">
                                    </div>
                                </td>
                            </tr>
                        </tbody>
                    </table>
                    <div class="comment-press-button clearfix">
                        <button type="submit" class="btn-com button-submit">申请提现</button>
                        <a href="<?php echo site_url('customer/accountRecord');?>" class="btn-com button-reset">返回</a>
                    </div>
                </form>
            </div>
        </div>
    </div>
</div>
<?php $this->load->view('layout/jingqu/footer');?>